<!doctype html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="initial-scale=1.0,minimum-scale=1.0,maximum-scale=1.0,user-scalable=no"/>
    <meta name="apple-mobile-web-app-capable" content="yes"/>
    <meta name="apple-mobile-web-app-status-bar-style" content="black"/>
    <meta name="format-detection" content="telephone=no,email=no"/>
    <title>收货地址</title>
    <link rel="stylesheet" href="../css/style.css"/>
</head>
<body>
<div class="wrap">
    <div class="header">
        <span class="ui-icon icon-back"><a href="index.html" class="block"></a></span>

        <h1>兑换商品</h1>
    </div>
    <div class="page">
        <div class="exchange-item">
            <div class="e-img"><img src="http://lorempixel.com/350/200"/></div>
            <h2>2000积分兑换50元话费</h2>

            <div class="good-cost">
                <span class="coin">22000</span>
                <span class="sep"></span>
                <span class="price">2599<i>￥</i></span>
            </div>
            <div class="t-small">2016-02-10 15:10</div>
        </div>
        <div class="recipient-info">
            <div class="title"><h3>请填写收货地址</h3></div>
            <ul>
                <li>
                    <h3>收货地址：</h3>
                    <input type="text" value="收货地址收货地址收货地址收货地址收货地址收货地址收货地址"/>
                </li>
                <li>
                    <h3>收货人姓名：</h3>
                    <input type="text"/>
                </li>
                <li>
                    <h3>联系电话：</h3>
                    <input type="text"/>
                </li>
                <li>
                    <h3>支付方式：</h3>
                    <div class="pay-terms">
                        <!--选中样式加 on-->
                        <span><a href="javascript:;" class="icon-alipay">支付宝支付</a></span>
                        <span><a href="javascript:;" class="icon-wechat">微信支付</a></span>
                    </div>
                </li>
            </ul>
        </div>
        <div class="order-btn"><a href="orderpay.html" class="ui-btn ">确认提交</a></div>
    </div>
</div>
</body>
</html>